Saudi Journal of Gastroenterology
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CASE REPORT
Year : 2010  |  Volume : 16  |  Issue : 2  |  Page : 120-121

Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus


Department of Surgery, St. George, Hospital, Kogarah, Sydney, Australia

Correspondence Address:
Ibrahim K Al-Alawi
MRCSI-FRACS, Yanqul, P.O. Box 6 code 500 - Oman

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-3767.61241

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Sigmoid volvulus is a common cause of large bowel obstruction in western countries and Africa. It accounts for 25% of the patients admitted to the hospital for large bowel obstruction. The acute management of sigmoid volvulus is sigmoidoscopic decompression. However, the recurrence rate can be as high as 60% in some series. Recurrent sigmoid volvulus in elderly patients who are not fit for definitive surgery is difficult to manage. The percutaneous endoscopic placement of two percutaneous endoscopic colostomy tube placement is a simple and relatively safe procedure. The two tubes should be left open to act as vents for the colon from over-distending. In our opinion, this aspect is key to its success as it keeps the sigmoid colon deflated until adhesions form between the colon and the abdominal wall.


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